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Archive for the ‘Medicine’ Category

Ulcerative Colitis

Friday, January 22nd, 2010

Ulcerative colitis is a disease that causes inflammation and sores, called ulcers. This happens in the lining of the rectum and colon. Ulcers form where inflammation has killed the cells that usually line the colon, then bleed and produce pus. Ulcerative colitis is usually continuous from the rectum onwards, with the rectum almost universally being involved. There is rarely peri-anal disease, but cases have been reported. This ulcer causes diarrhoea, bleeding and mucus. With time the patient may become anaemic, protein and salt depleted.

Symptoms of Ulcerative Colitis

Symptoms can vary from mild to severe. For some people the condition is a minor inconvenience, while for others it can seriously impact on their quality of life. Symptoms of Ulcerative Colitis include severe and persistent pain in the abdomen, sores of the bowel, diarrhea/stool softening, bleeding from the intestine, weight loss, and perhaps fever. Due to blood loss, patients can suffer anemia.

Inflammation in Ulcerative Colitis

Inflammation is a process that often occurs in order to fight off foreign invaders in the body including viruses, bacteria, and fungi. In response to such organisms, the body’s immune system begins to produce a variety of cells and chemicals intended to stop the invasion.
In the case of Ulcerative colitis, cells from the immune system are collected in the bowel wall, this leads to inflammation, injuring the bowel. This injury causes tissues of the affected part of the body, normally the colon and rectum to become swollen, red, warm, and painful especially its mucous membranes. The inflamed membranes develop patches of tiny ulcers, causing diarrhea that contains blood and mucus. Inflammation usually begins in the rectum and lower intestine and spreads upward to the entire colon.

Diagnosing Ulcerative Colitis with Blood Test

Blood tests may also uncover a high white blood cell count, which is a sign of inflammation somewhere in the body. The best way to confirm a diagnosis and locate the area of infection is through a procedure called endoscopy. Blood disorders have been reported and some have been fatal. The most common and distinct symptom of this illness is when blood is found in the stool. Colitis rarely affects the small intestine except for the lower section, the ileum.

Ulcerative colitis drugs and treatment

Medical treatment with medications taken orally or rectally, is the first therapeutic option for people with ulcerative colitis. However, about 25 to 40 percent of patients with ulcerative colitis will eventually require surgery. Ulcerative colitis is usually treated with anti-inflammatory drugs based on various preparations of the drug 5-ASA. They are usually in tablet form. These drugs reduce the inflammation in the colon and are usually continued long term since they have been shown to reduce the likelihood of recurrence.

There are many drugs that can be used to treat this disease. Some of which is Asacol (mesalamine) helps relieve ulcerative colitis symptoms including number of bowel movements and rectal bleeding as early as 3 weeks. Asacol is the only sulfa-free 5-ASA medication indicated for both treatment of mild to moderate flare-ups of ulcerative colitis and maintenance of remission of ulcerative colitis. Asacol HD (mesalamine) delayed-release tablets are available only by prescription for the treatment of moderately active UC. Asacol and Asacol HD are generally well tolerated. In clinical studies, some patients taking Asacol or Asacol HD reported upset stomach, diarrhea, stomach pain, belching, flatulence, worsening of UC symptoms, headache, runny nose, sore throat, and general pain.

If you want to learn more information, please visit Asacol.com. They will help you understand what ulcerative colitis is and the various aspects of the condition, including treatment, diet, and maintenance therapy.

Basics of second medical opinion

Wednesday, January 6th, 2010

A second opinion is always a good idea when your life or quality of life is at stake. Medical conditions sometimes occur that your primary care physician can’t treat. You may need a specialist, whom you’ve never met, for a second medical opinion. Putting your life into the hands of a stranger deserves some research.

When should you seek a second opinion?
Because of the increase in medical knowledge and new treatments, it is difficult for any one physician to be aware of all the latest information. One result is patients and their physicians together are seeking second opinions so better and more informed decisions can be made. For minor medical issues-a cold, flu bug, a scratch or scrape, allergies, etc you probably won’t need a second opinion.

However, there are certain times when a second opinion is absolutely essential. So when is the best time to get a second medical opinion?
• Having major surgery
• Questioning whether surgery is the only option
• Unhappy that your regular doctor can’t diagnose your problem
• Having trouble talking with your current doctor(s)
• Not seeing improvement in your medical condition
• Diagnosed with a life-threatening disease such as cancer, heart disease or brain tumor
• Told a second surgery is recommended
• Having multiple medical problems
Getting a good second opinion
some physicians disagree about whether you should get a “blind” second opinion (when medical records, test results and first physician’s opinion are not

made available to the second doctor) or if this information should be shared with the second opinion doctor.
Questions to ask during a second opinion appointment
• Is there any chance the medical problem could have a different diagnosis?
• Are there any alternative forms of treatment available?
• What are the likely results if you wait or don’t have the treatment?
• What are the risks associated with the treatment(s)?
• Are there any side effects or residual effects from each treatment option?
• How is the treatment plan expected to improve your health or quality of life?
• How long is the recovery period?
How can I get another medical opinion?
• Your doctors may refer you to other doctors or specialists.
• Ask friends or relatives who’ve been treated for the same condition.
• Ask for a list of approved doctors from your medical insurance company or your employer’s health plan administrator.
• Call your local medical society.
• Contact a hospital or medical school you’re comfortable with and ask them to refer you to a specialist for a second medical opinion.
• Verify the doctor’s credentials through your state’s medical board once you’ve decided who you’ll see for a second medical opinion.